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Anyone aware Nuance has gotten rid of transcription - Unknown

Posted: Jan 13, 2015

for the Kaleida Health System and will no longer be using MTs at all soon, they are using templates and the doctors will be editing their own reports, and this is for the entire system as radiology has already been phased out.

this must be similar to MModal's voice 'understanding' not just recognition. it is tied into the EHR and can create reports from templates based on the electronic health records. it knows when a doctor dictates an error and will flag it, and all the doctor has to do is edit it. no longer a need for MT/editors.

Yep. They are pushing their software full speed - ahead. Only a matter of time.

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Not much different than the EPIC system --sm - anon

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There are other hospitals where this is happen. One big account that I used to work on went completely to templates, etc. which is why I was switched to another account. While I am not convinced that all hospitals will go this route, I assume that many more will and there will be less work to fight over.

where is - informacist?

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she will surely know the details to the nth degree

It's been know for a long time that a lot of work - is going that way, but

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what about reports like those long rehab reports and operative reports? Not so sure docs would be willing to point and click those in...prob not possible. I do think the work will keep dwindling though...through a combination of this and offshoring.

Doctors do all kinds of things they don't want to do. - sm

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There isn't one doctor in the history of ever who wanted to do his own clerical work. Unless they're in single private practice, they're just as much at the mercy of Administration as every other employee, and they will do what they're told because they won't be given another option.

Even in private practice, they are at the mercy of insurers--sm - anon

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they will do what they have to in order to get paid. I also do not think it would be hard to develop a template for rehab notes.They could develop fields for all of the tests where only the results need to be added, etc. and what would need to be typed would therefore be minimal enough for it to be handled. Generally, I think a lot of operative reports could be handled with templates, with the exception being the more complex ones and eventually speech wreck could step up to fill many of the gaps. The need for MTs will go the way of the telephone operator.

So what did they do, send an email to all MTs on that account? - what do you mean? SM

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I would think the MTs working that account would be the first to know. Unless, MTs were never working the account to begin with; in which case, there were no MTs to get rid of. Your post is a little misleading. Could you please elaborate more? I just got an email from a Nuance recruiter a few days ago and I've seen recent ads, so why are they still hiring?

They are hiring because since the new - exciting (their words) pay plan

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came out a few weeks back, workers are leaving quickly. Hard to pay bills and plan if you don't know what you'll make from week to week.

Yeah, I figured thats why they're hiring, but if doing - away with MTs why bother? According to OP.

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My guess is that the OP is referring to one account-sm - anon

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and therefore that one account/hospital system is doing away with MT all together. Nuance is not getting rid of all MTs yet. Most likely they are whittling down slowly or driving them out but big changes like that generally do not happen all at once. Now, what will the MT landscape look like within 10 years? My guess is very different than it does now.

Well they dont have to worry about me applying. - I have enough problems.

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Trying to find a way out, not in.

RE: Why are they hiring - Ms. Behavin

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They are hiring because:
1. Quite a few MTs have left due to the pay and QA restrictions.
2. They are still acquiring new accounts. Those new accounts need to be transcribed from scratch at first so that the speech engine can learn from the MT.
3. They still have time periods of excessive work and need to send emails out to everyone to work extra on the weekend. They will just "deal with it" when the new MTs get OOW.
4. There are MTs who are not meeting the productivity and getting make up pay, and they will not keep them much longer - I guarantee it.

work - closetbird

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At some point they will run out of places to take over.

sorry to be misleading... - Unknown

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what I mean is I have seen the memo from Kaleida that the transcription will no longer be done by MTs basically but that their programs will be starting to do this, whereby doctors will be editing their own templated reports with information pulled in from the EHR.

My guess for their continuing to hire people is to keep training their new account acquisitions or takeovers, and just keep paying low-wage workers until they can be weeded out completely.

Also, when they do takeover entire hospital systems, not all MTs want to work with Nuance, so if they are taking over Catholic Health System as someone wrote below, if only a few MTs go with Nuance, they will be needing a huge number of MTs at first just to make sure the dictation gets done until they can begin implementing the phase-outs.

that is my understanding...

Nuance Volumes and EMR - Denise

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It is true. It is not just a thing that has come down the pike recently. It is a government MANDATE that the physicians (hospitals, clinics) implement EMR (electronic medical records). They were supposed to have it in place and working by 1/1/2015, but there has been a 1-year grace period for the hospitals and clinics to get it up and running. EPIC is a version of the program. What voice recognition software and off-shoring hasn't taken away from us as MTs earning a decent living in the USA, this will take the remainder. I don't even know how these companies can offer medical transcription school for people. There MIGHT be a need for some editors for narratives some physicians will dictate but it will probably just be the bad dictators that voice recognition cannot even understand and that we won't make but pennies to transcribe/or suffer through editing. Hate to say it as I have been in this line of work over 30 years, but it's true. Some docs are hiring what they call "Scribes" who will go into the exam rooms with them shadowing them and taking the notes as they visit with the patients. Doesn't fare well to me, being exposed to communicable disease known to man if I were to get hired by a GP. I feel like a one-legged man in a rump kicking contest. ---sigh---must do something. Good luck to all.

I used to work for an imaging clinic, and that - is what they did. No more MTs. :(

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X

kaleida - closetbird

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Kaleida is in Buffalo, NY. The Catholic Health System in Buffalo, NY has just been taken over by Nuance. Don't go to Buffalo, NY, My cardiologist verified this for me

Nuance getting rid of transcription - Classylassy

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Sounds like the Epic system where docs do most of their own transcription right into the system, completely bypassing the MT totally

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